Provider Demographics
NPI:1033288113
Name:VIGLIOTTI, ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:VIGLIOTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1372 STATE ROUTE 5
Mailing Address - Street 2:CHITTENANGO HEALTHCARE CENTER
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-8763
Mailing Address - Country:US
Mailing Address - Phone:315-687-5100
Mailing Address - Fax:315-687-0252
Practice Address - Street 1:1372 STATE ROUTE 5
Practice Address - Street 2:CHITTENANGO HEALTHCARE CENTER
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-8763
Practice Address - Country:US
Practice Address - Phone:315-687-5100
Practice Address - Fax:315-687-0252
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205014207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G81787Medicare UPIN